Adverse Pregnancy Outcomes Following Intrauterine Adhesiolysis - A Systematic Review

IF 3.5 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Journal of minimally invasive gynecology Pub Date : 2024-11-01 DOI:10.1016/j.jmig.2024.09.093

B Bhagavath , H Huddleston , MH Emanuel , AB Hooker , CA Salazar , C Martin , D Sobti , J Kumar , MG Munro

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引用次数: 0

Abstract

Study Objective

Adverse pregnancy outcomes following intrauterine lysis of adhesions have been reported. The objective was to perform a meta-analysis of published research to quantify the risk.

Design

Systematic review.

Setting

International, multi-institutional collaboration.

Patients or Participants

Using search terms including intrauterine adhesions, surgery, and clinical outcomes, Cochrane, Embase and PubMed databases were systematically searched without any date limits. Very few randomized controlled trials were found pertaining to this assessment and hence meta-analysis could not be performed. Therefore, observational studies were included to perform a systematic review.

Interventions

Hysteroscopic adhesiolysis.

Measurements and Main Results

2214 abstracts were identified and 418 assessed for eligibility. 235 studies were found to be eligible and 18 were eventually included in the analysis. Preterm delivery rate was 17%. Placental abnormalities included 11% placenta acreta spectrum disorders and 3% previa. Antepartum hemorrhage occurred in 3% and Peripartum hemorrhage in 10%. Hysterectomy was performed in 4%.

Conclusion

Hysteroscopic lysis was adhesions is associated with adverse events during subsequent pregnancies. High quality studies are needed to better assess the impact of intrauterine adhesiolysis on pregnancy outcomes.

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宫内粘连溶解术后的不良妊娠结局 - 系统综述

研究目的有报道称宫腔内溶解粘连后会出现不良妊娠结局。患者或参与者使用宫腔内粘连、手术和临床结果等检索词，对 Cochrane、Embase 和 PubMed 数据库进行了系统检索，没有任何日期限制。与该评估相关的随机对照试验很少，因此无法进行荟萃分析。干预措施宫腔镜粘连溶解术。衡量标准和主要结果共找到2214篇摘要，对其中418篇进行了资格评估。235 项研究符合条件，最终有 18 项纳入分析。早产率为 17%。胎盘异常包括11%的胎盘早剥和3%的前置胎盘。产前出血发生率为 3%，围产期出血发生率为 10%。结论宫腔镜溶解粘连与后续妊娠中的不良事件有关。需要进行高质量的研究，以更好地评估宫腔内粘连溶解术对妊娠结局的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

期刊介绍： The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.